| NPI | 1326020652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 27488) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 27488) |
| 207RR0500X Internal Medicine Rheumatology (Licence: MA 27488) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-07-08 |